2024 Employee Benefit Guide - Salaried - Yeled 11.3.23

• • •

BENEFIT

ACCIDENT INSURANCE

$50,000

Employee Accidental Death

$400

Ground Ambulance

$150

Emergency Room

$165 (Per day)

Hospital Confinement

$165 (Per day)

Intensive Care Unit Confinement

$1,500

Major Surgery

$250

Minor Surgery

$750

Singular Prosthetic Limb

$1,500

Multiple Prosthetic Limbs

$300

Eye Injury

See Schedule of benefits for full list of covered benefits

ACCIDENT INSURANCE MONTHLY RATES

Employee

Spouse

Dependent(s)

Family

$11.38

$18.34

$21.22

$28.18

For additional plan information, please refer to your detailed plan design provided by the carrier. In the event of a discrepancy, the carrier Plan Document shall prevail.